Provider Demographics
NPI:1285231225
Name:SALDIVAR, DAVID ZACHARY (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ZACHARY
Last Name:SALDIVAR
Suffix:
Gender:M
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 KINGSGATE WAY APT H187
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-5368
Mailing Address - Country:US
Mailing Address - Phone:509-591-8733
Mailing Address - Fax:
Practice Address - Street 1:306 BOLIN DR
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98948-1644
Practice Address - Country:US
Practice Address - Phone:509-865-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA61638955103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst